Medi-Cal application — walkthrough packet

Helps you prepare the answers Medi-Cal will ask on the SAWS 2 PLUS / BenefitsCal initial application

Audience · Anyone applying for Medi-Cal health coverageTime · ~10 min

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1Fill it out
2Review
3Sign
4Download

About you

Full legal name

Date of birth

Last 4 of SSN (only if you have one)

Phone

Citizenship / immigration status

California's Medi-Cal covers all income-eligible residents regardless of immigration status (full-scope expansion effective 2024). Some 2025-2026 budget changes are pending; your worker will confirm current eligibility.

Are you currently pregnant?

Pregnancy unlocks presumptive eligibility for immediate coverage.

Are you enrolled in Medicare?

Flags dual-eligible / non-MAGI Medi-Cal path.

Have you had Medi-Cal in another CA county? Which one?

Used to transfer your existing record rather than start over.

Household + income

Household size

Total monthly household income (estimate)

Include wages, SSI, SSDI, unemployment, child support — anything you receive regularly.

Where does the income come from?

Why you need coverage

Are you currently in care anywhere?

Doctor, ER, mental health, dental — anything you're already connected to.

What do you need Medi-Cal to cover?

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